Protech Suspension

- ORDER FORM -

First Name:

Last Name:

Phone Number: (include your area code)

Street Address:

Apt:

City: Province:

Postal:

Email Address:

RIDER INFO

Rider Weight (no gear): lbs. Height: feet and: inches.

Bike Info: Make: Model:

Year:

Skill Level: Years riding: years.

Type of Riding (choose one or more):

Motocross	ATV	SX/Arenacross
Enduro	Road Racing	Cross Country/Hare Scrambles

Terrain (choose one or more):

Sand	Hardpack
Intermediate/loam	Rocks, woods

Tracks (Road Racing Only) Name of Track:

WORK TO BE DONE

Fork Seal Relpacement: Yes No

Forks (choose one or more): Revalve Oil change

Shock (choose one or more): Revalve Oil change

ADDITIONAL INFO

Are seals or additional parts required?

Fork seals	Shock seals
Fork bushings	Shock bushings

ADDITIONAL COMMENTS